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DEVOTED CORE 060 FL (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DEVOTED CORE 060 FL (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DEVOTED CORE 060 FL (HMO) in 2026, please refer to our full plan details page.
DEVOTED CORE 060 FL (HMO) is a HMO plan offered by Devoted Health, Inc. available for enrollment in 2025 to people living in Lake, Marion, and Sumter Counties. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DEVOTED CORE 060 FL (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DEVOTED CORE 060 FL (HMO).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For DEVOTED CORE 060 FL (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $150.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Devoted Core 060 FL (HMO) plan features an annual drug deductible of $150. Under this plan, you will have no copay for Tier 1 preferred generic and Tier 2 generic drugs filled at standard pharmacies or through standard mail order for one-month, two-month, and three-month supplies. For higher-tier medications, your costs are determined by coinsurance at standard pharmacies and standard mail order. Tier 3 preferred brand drugs require a 23% coinsurance and Tier 4 non-preferred drugs require a 25% coinsurance for all supply durations. Tier 5 specialty drugs require a 31% coinsurance for a one-month supply.
Additional Benefits
The DEVOTED CORE 060 FL (HMO) plan offers robust medical coverage with no copay for primary care visits, preventive services, and home health care. Specialists, mental health services, and physical therapy require low copays ranging from $10 to $50, with no coinsurance. For hospital stays, inpatient care features a $175 daily copay for the first five days and no copay thereafter, while emergency room visits carry a $150 copay that is waived if you are admitted. Members also benefit from comprehensive dental coverage up to $3,500 annually with no copay for preventive services, alongside routine vision exams and a $400 annual eyewear allowance. Routine hearing exams have a $10 copay, and hearing aids are covered with copays between $399 and $699. Additionally, the plan provides a $100 quarterly over-the-counter allowance and covers standard durable medical equipment with 20% to 50% coinsurance and no copay.
Inpatient Hospital See details
Inpatient hospital care is covered by DEVOTED CORE 060 FL (HMO) with no coinsurance, requiring a $175 daily copay for days 1 through 5 and no copay for days 6 through 90. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric hospital days are not covered.
Outpatient Services See details
DEVOTED CORE 060 FL (HMO) outpatient services are covered with no coinsurance, featuring a $0 to $175 copay for outpatient hospital services and a $175 copay per stay for observation services. Ambulatory surgical center and outpatient blood services are available with no copay and no coinsurance, while outpatient substance abuse individual and group sessions require a $10 copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the DEVOTED CORE 060 FL (HMO) plan with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
DEVOTED CORE 060 FL (HMO) covers ground ambulance services with a copay of $0 to $300 and air ambulance services with a 20% coinsurance, with prior authorization required for both. Routine transportation services to plan-approved or health-related locations are not covered under this plan.
Emergency Services See details
DEVOTED CORE 060 FL (HMO) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services range from no copay to a $45 copay with no coinsurance, while worldwide emergency services are covered up to $25,000 with a $150 copay for emergency or urgent care and a $300 copay with 20% coinsurance for emergency transportation.
Primary Care See details
DEVOTED CORE 060 FL (HMO) covers primary care physician services with no copay and no coinsurance, while specialist, mental health, and psychiatric services feature a $10 copay and no coinsurance. Physical, occupational, and speech therapy services require a $10 to $50 copay with no coinsurance, but chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are covered by DEVOTED CORE 060 FL (HMO) with no copay and no coinsurance, including annual physical exams, kidney disease education, and diabetes self-management training. While select additional benefits like fitness and nutritional programs are covered, several sub-services such as therapeutic massage, in-home support, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are covered by DEVOTED CORE 060 FL (HMO), which offers routine hearing exams for a $10 copay and no coinsurance, with no deductible. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $399 to $699 for up to two aids per year, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision Services under DEVOTED CORE 060 FL (HMO) are partially covered, offering routine eye exams with a $0 to $10 copay and no coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, providing up to a $400 annual maximum benefit for contact lenses, eyeglasses, frames, lenses, and upgrades.
Dental Services See details
Dental services are covered by DEVOTED CORE 060 FL (HMO) up to a $3,500 annual maximum, featuring no copay and no coinsurance for preventive care, and a $10 copay with no coinsurance for Medicare-covered services. Comprehensive dental is partially covered with no copay and 0% to 50% coinsurance, though maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by DEVOTED CORE 060 FL (HMO) with no copay and no coinsurance, though prior authorization and step therapy are required. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the DEVOTED CORE 060 FL (HMO) plan with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
DEVOTED CORE 060 FL (HMO) partially covers medical equipment with no copays, requiring 20% to 50% coinsurance for durable medical equipment, no coinsurance to 20% coinsurance for prosthetics and medical supplies, and no coinsurance to 50% coinsurance for diabetic supplies. Prior authorization is required for these services, and diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by DEVOTED CORE 060 FL (HMO) with prior authorization, featuring no coinsurance for diagnostic services and no copay for lab services or outpatient X-rays. Diagnostic procedures have a copay between $0 and $95, while diagnostic radiological services have copays starting at $0 and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by DEVOTED CORE 060 FL (HMO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the DEVOTED CORE 060 FL (HMO) plan, as none of the individual sub-services are covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by DEVOTED CORE 060 FL (HMO) with no coinsurance and no prior three-day hospital stay required, though prior authorization is necessary. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, while additional days beyond the Medicare-covered limit are not covered.
Other Services See details
DEVOTED CORE 060 FL (HMO) partially covers other services, providing additional preventive services and a $100 quarterly over-the-counter (OTC) allowance with no copay and no coinsurance. Acupuncture, meal benefits, and dual-eligible SNP services are not covered under this plan.
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